NPI 1710505268

Jennifer Petell, PHDINCLINICALPSY

Practitioner Psychologist Southaven, MS

Practice location

Address: 5908 Getwell Rd, Southaven, MS 38672-7317
Phone: (901) 536-4646
Fax: (662) 536-4443
Mailing address: 1211 Union Ave STE 330, Memphis, TN 38104-6655

Registered specialties (3)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 641185 (MS)

Other Psychologist providers in Mississippi →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in Mississippi →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 4107 (TN)

Registry record

NPI: 1710505268
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2020
Record last updated: 30 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.